Boog boogta

Cudurka 'peptic ulcer' waa boog furan ama meel ceyriin ah oo ku yaal dahaarka caloosha ama xiidmaha.

Waxaa jira laba nooc oo ah nabarro qalooca:

• Cudurka caloosha - wuxuu ku dhacaa caloosha
• Cudurka Duodenal - wuxuu ku dhacaa qaybta hore ee xiidmaha yar

Caadi ahaan, dahaarka caloosha iyo mindhicirada yar yar ayaa iska difaaci kara asiidhyada caloosha ee adag. Laakiin haddii dahaadhka uu burburo, natiijadu waxay noqon kartaa:

• Unug barar iyo barar (gastritis)
• Boog

Nabarrada badankood waxay ku dhacaan lakabka koowaad ee dahaadhka gudaha. Dalool ku dhaca caloosha ama duodenum waxaa lagu magacaabaa daloolin. Tani waa xaalad caafimaad oo degdeg ah.

Sababta ugu badan ee boogaha waa infekshinka caloosha ee bakteeriyada loo yaqaan Helicobacter pylori (H pylori). Inta badan dadka qaba boogaha qalooca waxay leeyihiin bakteeriyadan oo ku nool mareenkooda dheef-shiidka. Hase yeeshe, dad badan oo bakteeriyadan ku leh calooshooda kuma soo baxaan boog.

Waxyaabaha soo socda ayaa sare u qaadaya halista boogaha:

• Cabitaanka khamriga badan
• Isticmaalka joogtada ah ee asbiriinka, ibuprofen, naproxen, ama dawooyinka kale ee anti-bararka ee nonsteroidal (NSAIDs)
• Sigaar cabista ama tubaakada cunid
• Aad u jiran tahay, sida in aad saaran tahay mashiinka neefsashada
• Daaweynta shucaaca
• Cadaadis

Xaalad naadir ah, oo loo yaqaan 'Zollinger-Ellison syndrome', ayaa keenta boogaha caloosha iyo duodenal.

Boogaha yaryar ma keeni karaan wax calaamado ah. Boogaha qaarkood waxay sababaan dhiig bax daran.

Xanuunka caloosha (badiyaa caloosha dhexe ee kore) waa astaamo caan ah. Xanuunku wuu ku kala duwanaan karaa qof ilaa qof. Dadka qaar wax xanuun ah ma qabaan.

Xanuun ayaa dhaca:

• Caloosha kore
• Habeenkiina wuu ku toosiyaa
• Markaad dareento calool madhan, badiyaa 1 illaa 3 saacadood cuntada ka dib

Calaamadaha kale waxaa ka mid ah:

• Dareemid dhereg iyo dhibaatooyin cabitaan badan sida caadiga ah
• Lallabbo
• Matagid
• Saxaro dhiig leh ama madow ah
• Laab xanuun
• Daal
• Matag, suurtagal dhiig
• Miisaanka oo yaraada
• Qalbi socda

Si loo ogaado boogaha, waxaad u baahan kartaa baaritaan loo yaqaan endoscopy sare (EGD).

• Tani waa tijaabo lagu hubinayo dahaarka tuubada cuntada, caloosha, iyo qaybta koowaad ee xiidmaha yar.
• Waxaa lagu sameeyaa kamarad yar (endoscope dabacsan) oo dhuunta la galiyo.
• Tijaabadani waxay inta badan u baahan tahay suuxin laga bixiyo xididka.
• Xaaladaha qaarkood, endoscope yar ayaa loo isticmaali karaa oo loo maro caloosha sanka. Tani uma baahna dajin.

EGD waxaa lagu sameeyaa dadka badankood marka laga shakiyo nabarrada caloosha ama markii aad yeelato:

• Tirada dhiigga oo hooseysa (dhiig yari)
• Dhibaato liqitaan
• Matag dhiig leh
• Saxaro dhiig leh ama mugdi ah oo u eg daah
• Miisaan lumay adigoon isku dayin
• Natiijooyinka kale ee keena walaaca kansarka ku dhaca caloosha

Tijaabinta H pylori sidoo kale waa loo baahan yahay. Tan waxaa lagu samayn karaa ka-qaadista ka-qaadista caloosha inta lagu jiro baaritaanka 'endoscopy', iyadoo baaritaanka saxarada, ama baaritaanka neefta kaadi-mareenka.

Tijaabooyinka kale ee laga yaabo inaad qaaddo waxaa ka mid ah:

• Baaritaanka dhiigga ee Hemoglobin si loo hubiyo dhiig-yaraan
• Saxarada dhiig baxa saxarada si looga baaro dhiiga saxaradaada

Mararka qaarkood, waxaad u baahan kartaa baaritaan loo yaqaan 'taxanaha' GI sare '. Raajooyin taxane ah ayaa lagaa qaadayaa ka dib markaad cabto walax qaro weyn oo la yiraahdo barium. Tani uma baahna dajin.

Bixiyaha xanaanada caafimaadkaaga ayaa kugula talin doona daawooyinka si aad u bogsato nabar kaaga kana hortagto soo noqoshada Daawooyinka waxay:

• Dila H pylori bakteeriyada, haddii ay jirto.
• Iska yaree heerarka aashitada ee caloosha. Kuwaas waxaa ka mid ah H2 blockers sida ranitidine (Zantac), ama proton pump inhibitor (PPI) sida pantoprozole.

U qaado dhammaan daawooyinkaaga sida laguu sheegay. Isbedelada kale ee noloshaada ayaa waliba kaa caawin kara.

Haddii aad qabto boog calooleed oo leh an H pylori infekshinka, daaweynta caadiga ah waxay isticmaashaa isku-darka daawooyinka soo socda 7 ilaa 14 maalmood:

• Laba antibiyootiko oo kala duwan oo la dilo H pylori.
• PPIs sida omeprazole (Prilosec), lansoprazole (Prevacid), ama esomeprazole (Nexium).
• Bismuth (maaddada ugu weyn ee Pepto-Bismol) ayaa lagu dari karaa si looga caawiyo dilka bakteeriyada.

Waxaad u baahan doontaa inaad qaadato PPI 8 toddobaad haddii:

• Waxaad leedahay boog aan lahayn an H pylori caabuq
• Boogtaada waxaa sababa qaadashada asbiriin ama NSAIDs.

Bixiyahaagu sidoo kale wuxuu kuu qori karaa daawada noocan ah si joogto ah haddii aad sii wado qaadashada asbiriin ama NSAIDs xaaladaha caafimaad ee kale.

Daawooyinka kale ee loo isticmaalo boogaha waa:

• Misoprostol, waa daawo ka caawin karta kahortaga boogaha dadka si joogto ah u qaata NSAIDs
• Daawooyinka ilaaliya dahaarka unugyada, sida sucralfate

Haddii boog calooleed uu dhiig badan baxo, EGD ayaa loo baahan karaa si loo joojiyo dhiigbaxa. Hababka loo isticmaalo joojinta dhiig baxa waxaa ka mid ah:

• Daawada lagu durayo boogta
• Ku dhajinta boogta biraha ama daaweynta kuleylka boogta

Qalliin ayaa loo baahan karaa haddii:

• Dhiigbaxa lama joojin karo EGD
• Boogta ayaa sababtay ilmo

Boogaha Peptic waxay u muuqdaan inay soo noqdaan haddii aan la daaweyn. Waxaa jira fursad wanaagsan oo ah H pylori infekshinka waa laga bogsan doonaa haddii aad qaadato daawooyinkaaga oo aad raacdo talada bixiyahaaga. Waxay u badan tahay inaad u dhowdahay inaad yeelato boog kale.

Dhibaatooyinka waxaa ka mid noqon kara:

• Dhiigbax daran
• Nabar ka soo baxa boogaha ayaa adkeyn kara caloosha inay faaruqdo
• Dalool ama dalool caloosha iyo mindhicirada

Hel caawimaad caafimaad isla markaaba haddii:

• Samee xanuun kedis ah, calool xanuun leh
• Hayso calool adag oo adag oo jilicsan oo taabasho ah
• Aad isku aragto astaamo shoog, sida suuxdin, dhidid saa'id ah, ama wareer
• Matag dhiig ama saxaradaada dhiig kujiro (khaasatan haday tahay midab madow ama madow, daah madow)

Wac adeeg bixiyahaaga haddii:

• Waxaad dareemeysaa wareer ama madax wareer.
• Waxaad leedahay calaamadaha boogaha.

Iska ilaali aspirin, ibuprofen, naproxen, iyo NSAIDs kale. Isku day acetaminophen halkii. Haddii ay tahay inaad qaadato daawooyinka noocaas ah, kala hadal dhakhtarkaaga marka hore. Adeeg bixiyahaagu waxaa laga yaabaa:

• Tijaabi adiga H pylori ka hor intaadan qaadan daawooyinkan
• Waxaan kaa codsan doonaa inaad qaadato PPIs ama H2 acid acid blocker
• Qor daawo la yiraahdo misoprostol

Isbedelada qaab nololeed ee soo socda ayaa kaa caawin kara kahortagga boogaha caloosha:

• SIGAAR ha cabin ama ha calalin tubaakada.
• Ka fogow aalkolada.

Boog - boogta; Boog - duodenal; Boog - gastric; Cudurka Duodenal; Cudurka caloosha; Dyspepsia - boogaha; Boog dhiig leh; Dhiig-baxa mindhicirka - boog calooleed; Dhiig-baxa caloosha iyo mindhicirka - boog calooleed; G.I. dhiig - boog calooleed; H. pylori - boog calooleed; Helicobacter pylori - boog calooleed

• Qaadashada dawada asiidhka

• Xaaladaha degdega ah ee boogta
• Nidaamka 'Gastroscopy'
• Halka ay ku yaalaan boogaha caloosha
• Sababta boogaha caloosha
• Cudurka caloosha ama naxdinta

Chan FKL, Lau JYW. Cudurka boogta ee Peptic. Gudaha: Feldman M, Friedman LS, Brandt LJ, eds. Cudurka caloosha iyo beerka ee Sleisenger iyo Fordtran. 11aad. Philadelphia, PA: Elsevier; 2021: cutubka 53.

Dabool TL, Blaser MJ. Helicobacter pylori iyo gaas kale Helicobacter noocyada. Gudaha: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, iyo Bennett Mabaadi'da iyo Ku Dhaqanka Cudurada faafa. 9aad. Philadelphia, PA: Elsevier; 2020: cutubka 217.

Lanas A, Chan FKL. Cudurka boogta ee Peptic. Lancet. 2017; 390 (10094): 613-624. PMID: 28242110 www.pubmed.ncbi.nlm.nih.gov/28242110/.